Infective Endocarditis Caused by Neisseria cinerea in a 7-Year-Old Girl Who Had Undergone Surgical Pulmonary Valve Replacement.
10.12771/emj.2017.40.4.171
- Author:
Moon Sun KIM
1
;
Seong Ho KIM
;
So Ick JANG
;
Sang Yoon LEE
Author Information
1. Department of Pediatrics, Sejong General Hospital, Bucheon, Korea. shkim24926@hanmail.net
- Publication Type:Case Report
- Keywords:
Endocarditis;
Neisseria cinerea;
Infection
- MeSH:
Anti-Bacterial Agents;
Child*;
Clarithromycin;
Cough;
Dilatation;
Echocardiography;
Emergency Service, Hospital;
Endocarditis*;
Female*;
Fever;
Heart Ventricles;
Humans;
Korea;
Neisseria cinerea*;
Neisseria*;
Pneumonia;
Pneumonia, Mycoplasma;
Pulmonary Valve Insufficiency;
Pulmonary Valve*;
Radiography;
Tetralogy of Fallot;
Thorax
- From:The Ewha Medical Journal
2017;40(4):171-174
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 7-year-old girl was admitted to the emergency department with a 2-week history of fever and general weakness. She had been diagnosed with tetralogy of Fallot and received surgical repair. Pulmonary prosthetic valve replacement was performed in January 2014 because of severe pulmonary regurgitation and moderate right ventricle dilatation. Echocardiography revealed suspicious vegetation around the prosthetic pulmonary valve. Neisseria cinerea was confirmed in blood culture. We diagnosed with bacterial infective endocarditis, and administered empirical intravenous antibiotics for endocarditis. However, the fever and general weakness continued, with mild muscle aches and coughing. Thus, we performed a chest radiography and pneumonia workup. Therefore, she was diagnosed with mycoplasma pneumonia and given oral clarithromycin twice daily for 2 weeks. She was successfully treated with antibiotics for 46 days. We report the first case of infective endocarditis caused by N. cinerea in Korea.
